Stacy Reyes, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

45616 Issued in KS

Practice address

9393 W 110TH St Ste 500527
Overland Park, KS 66210-1442

Phone

(913) 800-6971

Fax

(855) 845-1844

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minuteclinic Diagnostic of Kansas PA

  • Family Nurse Practitioner
  • Leawood, KS
  • NPI 1629005558
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1770904898
  Medicare reassignment NPD
• Kansas City Health & Wellness Clinic, PA

  • Family Medicine Physician
  • Lenexa, KS
  • NPI 1740439355
  NPD (past)
• Sleepcair

  • Durable Medical Equipment & Medical Supplies
  • North Kansas City, MO
  • NPI 1699963660
  NPD (past)
• Vpa PC

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1760706337
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1124097464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LITTLE BLUE PKWY STE 320",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640578324",
            "telephone_number": "816-867-4140",
            "fax_number": "913-839-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9393 W 110TH ST STE 500527",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101442",
            "telephone_number": "913-800-6971",
            "fax_number": "855-845-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "STACY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45616",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph B. Reuben, M.D.
• Thomas Reuther, DPT
• Beverly Revels
• Rex Consulting Group, LC
• Luis Carlos Reyes, LPTA
• Rheumatology Specialists of Kansas City PA
• Katherine M Rhoads, AUD, CCC-A
• Samantha Faith Ricci-Weller, MSN, APRN, FNP-C
• Walter J Ricci, MD
• Angela Rice, NP

• Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.